Individual provider Active NPI

Donald T. Dearth

  • Hearing Instrument Specialist
  • Lincoln, IL
National Provider Identifier
1467914309
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
0873 Issued in IL
Practice address
1201 Woodlawn Rd
Lincoln, IL 62656-9770
Phone
(217) 735-3573
NPI assigned
Apr 1, 2019
Last updated
Apr 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 0873 IL Primary

Addresses

Primary practice location

1201 Woodlawn Rd
Lincoln, IL 62656-9770

Mailing address

1201 Woodlawn Rd
Lincoln, IL 62656-9770
Phone (217) 735-3573

Other identifiers 1

IdentifierTypeStateIssuer
0873OtherILDEPARTMENT OF PUBLIC HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0873ILMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Hearing Aid Center Hearing Instrument Specialist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1467914309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WOODLAWN RD",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626569770",
            "telephone_number": "217-735-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WOODLAWN RD",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626569770",
            "telephone_number": "217-735-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARTH",
        "first_name": "DONALD",
        "middle_name": "T.",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "0873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "0873",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.